Humidification of respiratory gases

ABSTRACT

A system for humidifying respiratory gases has a humidification apparatus, a humidification chamber, a heating apparatus and a sensor. The sensor is configured to determine a characteristic of the gases flow and communicate this to a controller which controls the power supplied to the heating apparatus with respect to information regarding the characteristic of the gases flow. A structure partially encloses the humidification chamber and allows energy loss through a wall of the humidification chamber. The humidification chamber may have features to promote heat loss through the wall of the chamber.

INCORPORATION BY REFERENCE TO ANY PRIORITY APPLICATIONS

The present application is a continuation of U.S. patent applicationSer. No. 15/525,257, filed May 8, 2017, which is a national stageapplication based on International Application No. PCT/NZ2015/050193,filed Nov. 17, 2015, which claims the priority benefit of U.S.Provisional Application No. 62/080,814, filed Nov. 17, 2014, theentirety of which is hereby incorporated by reference herein. Any andall applications for which a foreign or domestic priority claim isidentified in the Application Data Sheet as filed with the presentapplication are hereby incorporated by reference under 37 C.F.R. § 1.57.

FIELD OF THE DISCLOSURE

The present disclosure generally relates to humidifying respiratorygases. More particularly, the present disclosure relates to ahumidification apparatus that promotes heat loss from the humidificationchamber.

BACKGROUND

A humidification apparatus is used to provide heated and humidifiedrespiratory gases to a patient via a patient interface. Respiratorygases delivered to a patient at 100% relative humidity and 37° C. mimicthe transformation of air that occurs as the respiratory gases passthrough the upper airway to the lungs. This may promote efficient gasexchange and ventilation in the lungs, aid defense mechanisms in theairway and increase patient comfort during treatment.

Respiratory gases entering a humidification apparatus are heated andhumidified by passing over the surface of the liquid within thehumidification chamber. Thus, they are substantially saturated withvapour when they flow out of the humidification chamber through theoutlet port. A controller determines the amount of power to supply tothe heater so that the respiratory gases comprise a predeterminedcharacteristic such as temperature, humidity or flow at the outlet port.The characteristic can be measured by one or more sensors at the outletport. Therefore, the humidification apparatus heats and humidifies therespiratory gases so that they are substantially saturated and comprisea predetermined characteristic as they exit the humidificationapparatus.

BRIEF SUMMARY

A respiratory assistance system is disclosed that comprises mechanismsto increase heat loss from a humidification chamber to a surroundingambient environment.

An embodiment discloses a structure that couples to a humidificationapparatus and at least partially encloses the humidification chamber.The structure comprises integrated sensors that protrude from thestructure and extend at least partially into the humidification chamber.The structure comprises alignment and orientation features to betterfacilitate coupling with the humidification chamber.

In some embodiments, the structure includes alignment features, such asa shroud and a hood. The shroud facilitates coupling with an inspiratorytube connector. The hood aligns with a corresponding nose of thehumidification chamber. The hood further comprises rails that aid inalignment of the humidification chamber. The hood comprises an openingthat allows heat loss from the humidification chamber to the surroundingambient environment. The sensors are positioned both within the shroud,and on a post, which provides a platform to allow sensing within thehumidification chamber.

In some embodiments optional to any embodiment disclosed herein, thestructure includes an active cooling mechanism that acts to blow air onor around the humidification chamber. An example of an active coolingmechanism is a fan.

The humidification chamber includes apertures that can receive thesensors. In some embodiments optional to any embodiment herein, thehumidification chamber includes a passive cooling mechanism. The passivecooling mechanism is in the form of a heat sink, for example, fins. Thefins protrude from the humidification chamber and extend in an upwarddirection. The fins encourage additional heat loss from thehumidification chamber.

In some embodiments optional to any embodiment disclosed herein, thehumidification chamber includes a wall that bulges outwardly frombetween the base and an upper surface of the humidification chamber.This increases the surface area of the liquid within the humidificationchamber, which increases the amount of humidity that is transferred tothe respiratory gases. In some embodiments optional to any embodimentdisclosed herein, a humidification chamber may be used that includesaltered geometries such that the surface area of the liquid isoptimised.

In some embodiments optional to any embodiment disclosed herein, regionsof the humidification chamber include a thermally conductive material.This facilitates heat loss from the humidification chamber withoutaltering the overall geometry or size of the humidification chamber.

BRIEF DESCRIPTION OF THE DRAWINGS

These and other features, aspects, and advantages of the presentdisclosure will be described with respect to the following figures,which are intended to illustrate and not to limit the disclosedembodiments.

FIG. 1 is a schematic of a respiratory assistance system

FIGS. 2-3 are perspective views of a humidification apparatus accordingto an embodiment of the present disclosure.

FIG. 4 is a perspective view of a humidification chamber according to anembodiment of the present disclosure.

FIG. 5A is a front perspective view of a structure according to anembodiment of the present disclosure.

FIG. 5B is an isometric view of a structure according to the embodimentof FIG. 5A.

FIG. 6 is a perspective view of a structure according an embodiment ofthe present disclosure.

FIGS. 7-9 are perspective views of different embodiments of ahumidification chamber.

FIG. 10 illustrates an embodiment of a humidification chamber with acooling structure.

FIG. 11 illustrates embodiments of cooling structures having differentdesign parameters.

FIG. 12 illustrates the design parameters of the cooling structuresshown in FIG. 10.

FIG. 13 shows contact angle measurements for two different materialsthat can be used to make the cooling structures.

FIG. 14 illustrates capillary height measurements for the coolingstructures of FIG. 10.

FIG. 15 shows example results corresponding to the change in relativehumidity from adding cooling structures to the humidification chamber.

FIG. 16 illustrates an embodiment of a base structure that can be usedwith the humidification chamber.

FIG. 17 illustrates a top view of the base structure of FIG. 16.

DETAILED DESCRIPTION

FIG. 1 discloses a respiratory assistance system 100 that includes agases source 110. The gases source 110 utilises a gases supply tube 120to supply respiratory gases to a humidification apparatus 130. In someembodiments, the gases source 110 and the humidification apparatus 130are within the same housing. In some embodiments, the gases source 110and the humidification apparatus 130 are in different housings. Thehumidification apparatus 130 includes a base unit 135 and ahumidification chamber 140. The humidification chamber 140 can bemounted on the base unit 135. The humidification chamber 140 can hold avolume of liquid, for example, water. The humidification chamber 140further includes an inlet port 142 and an outlet port 144. Respiratorygases are humidified as they pass through the humidification chamber 140via the outlet port 144 and into an inspiratory tube 150 where they aretransported to a patient interface 160. In some embodiments, anexpiratory tube 170 transports exhaled gases away from a patient.

Respiratory gases entering the humidification chamber 140 are heated andhumidified by passing over the surface of the liquid. Thus, they aresubstantially saturated with vapour when they exit the humidificationchamber 140 through the outlet port 144. The base unit 135 includes aheater plate 240. A controller 132 of the humidification apparatus 130determines the amount of power to supply to the heater plate 240 to heatthe humidification chamber 140 when the humidification chamber 140 ismounted on the base unit 135 so that the respiratory gases include apredetermined characteristic at the outlet port 144 as measured by asensor (not shown in FIG. 1) at or near the outlet port 144. Therefore,the humidification apparatus 130 acts to heat and humidify therespiratory gases so that they are substantially saturated and include apredetermined characteristic. In some embodiments, a controller 128 ofthe gases source 110 may communicate with the controller 132 as part ofthe operations of the controller 132 herein described. In someembodiments, the controller 128 may execute part or all of theoperations of the controller 132 herein described.

In some embodiments, the predetermined characteristic is a gasestemperature. In some embodiments, the predetermined characteristic maybe a relative humidity, an absolute humidity, or a flow rate of gases.The temperature of the respiratory gases at the inlet port 142 istypically less than a temperature of the respiratory gases at the outletport 144. Thus, a temperature differential exists between the inlet port142 and the outlet port 144. This, in effect, is a temperaturedifferential that exists between the incoming gases and the outgoinggases, respectively. The controller 132 determines how much power tosupply to the heater plate 240 to bring the temperature of therespiratory gases to a value similar to the predetermined temperature atthe outlet port 144. As the heater plate 240 heats the respiratory gasesto the predetermined temperature, the respiratory gases can behumidified during the process of heating.

In some cases, the temperature of the respiratory gases at or near theoutlet port 144 may already be at or close to the predeterminedtemperature. This may be due to a high ambient temperature, gasessupplied from the gases source 110 to the humidification apparatus 130at a higher temperature, heating effects from within the humidificationapparatus 130, or heating effects from within the gases source 110. As aresult, the controller 132 determines that less heating is necessary toheat the respiratory gases to the predetermined temperature and suppliesless power to the heater plate 240. Thus, although the respiratory gasesleaving the humidification chamber 140 are substantially similar to thepredetermined temperature, less humidity is added to the respiratorygases.

The humidification apparatus 130 includes mechanisms to facilitate heatloss from the humidification chamber 140 to allow a greater temperaturedifferential between the inlet port 142 and the outlet port 144. Agreater temperature differential causes more power to be supplied to theheater plate 240 to heat the respiratory gases. This allows morehumidity to be added to the respiratory gases. In some embodiments, astructure 220 includes mechanisms to promote heat loss. In someembodiments, the humidification chamber 140 includes mechanisms toimprove heat loss. The mechanism may correspond to a shape, design, oran insert.

FIGS. 2-3 illustrate an embodiment of the humidification apparatus 130that includes the base unit 135, a display 210, the structure 220, thehumidification chamber 140, and the heater plate 240. The structure 220includes sensors 230. In some embodiments, the sensors 230 arepermanently mounted onto the structure 220. In some embodiments, thesensors 230 may be removably coupled to the structure 220. The sensors230 may be positioned to protrude into the inlet port 142 and/or theoutlet port 144 when the humidification chamber 140 is mounted on thebase unit 135. In the illustrated embodiment, two of the sensors 230 arepositioned to measure at least one characteristic of the gases flow atthe inlet port 142, and one of the sensors 230 is positioned to measureat least one characteristic of the gases flow at the outlet port 144. Insome embodiments, one of the sensors 230 is positioned to measure atleast one characteristic of the gases flow at the inlet port 142, andtwo of the sensors 230 are positioned to measure at least onecharacteristic of the gases flow at the outlet port 144, when thehumidification chamber 140 is mounted on the base unit 135. In someembodiments, two of the sensors 230 are positioned to measure at leastone characteristic of the gases flow at the inlet port 142, while onesensor is positioned at the outlet port 144. The sensors 230 can also bearranged in other configurations with different combinations at theinlet port 142 and the outlet port 144. The structure 220 can alsoinclude more than 3 sensors or less than 3 sensors.

In some embodiments, the sensors 230 are mounted in planes parallel orsubstantially parallel with respect to each other. Further, the sensors230 can be oriented in the same direction with respect to each other. Inthe illustrated embodiment in FIG. 2, the sensors 230 are situatedparallel to the x-y plane and extend along the x-axis. In someembodiments, the placement of the sensors 230 advantageously enables forthe humidification chamber 240 to slide into the humidificationapparatus 130 with respect to the structure 220 (as shown in FIG. 3).Moreover, as seen in FIG. 2, the sensors 230 are all placedperpendicular to a vertical plane. Two of the sensors 230 are positionedin a different but substantially parallel horizontal planes.Accordingly, one of these sensors may measure characteristic of a gas ata different point in time as the gas flows through the humidificationchamber 140 because of the difference in location. That is, a firstsensor is positioned such that the gas passes over it shortly before thegas passes over the second sensor. In some embodiments, two of thesensors 230 may be mounted in the same horizontal plane or substantiallythe same horizontal plane so that the sensors 230 can measurecharacteristic of the gas flow at the same time. In some embodiments, ifthe sensors are measuring different characteristics, it may beadvantageous to have them measure the characteristics at the same pointin time of gas flow for the purposes of comparison.

Further, FIG. 3 illustrates the humidification chamber 140 attached tothe base 135. As seen from the figure, some of the portions of thehumidification chamber 140 are occluded or covered by the base 135,particular the top portions of the humidification chamber 140. Thecovered portions may act as an insulator for the humidification chamber140 and trap heat inside the humidification chamber 140. Accordingly, insome embodiments, it may be advantageous to have more surface area ofthe humidification chamber 140 exposed to the air to avoid theinsulation effect. In an embodiment, the base 135 as illustrated hereinis designed to increase exposure of the surface area of thehumidification chamber 140 to external environment. For example, in theembodiments illustrated, about 45% to about 50% of the chamber isexposed as viewed from the top. In some embodiments, about 40% to about45% of the chamber is exposed as viewed from the top. The base 135 andthe humidification chamber 140 can also be designed to expose more than50%, such as 60% or 70% of the chamber. In some embodiments, thepercentage can be calculated by measuring the entire surface area of thehumidification chamber 140 and dividing the exposed surface area by theentire surface area.

In some embodiments, the sensors 230 each may measure one oftemperature, flow rate, or humidity. In some embodiments, the sensors230 may measure a combination of any one of temperature, flow rate, andhumidity. In some embodiments, two of the sensors 230 may be used incombination to derive a characteristic of the gases flow; for example,two of the sensors 230 may be positioned to measure gases temperature atthe inlet port 142, and the controller 132 may use the two measurementsto derive a flow rate of the gases. In some embodiments, one of thesensors 230 may be positioned downstream of the humidification apparatus130, for example, near the patient interface 160. In some embodiments,one of the sensors 230 may be positioned at the heater plate 240.

Heating of the heater plate 240 is controlled by the controller 132. Thecontroller 132 determines the amount of power required to providesufficient heat to the liquid within the humidification chamber 140. Thesurface of the heater plate 240 is in contact with a thermallyconductive surface of the humidification chamber 140. This provides athermally conductive pathway to enable the transfer of heat from theheater plate 240 to the liquid within the humidification chamber 140.

In some embodiments, the structure 220 is removably coupled to the baseunit 135. In some embodiments, the structure 220 may be permanentlycoupled to the base unit 135. In some embodiments, the structure 220 maybe integrally formed with the base unit 135. The structure 220 can forma support structure for the sensors 230. The structure 220 includesfeatures that aid with alignment and orientation of the humidificationchamber 140 relative to the base unit 135 and/or the sensors 230, whichwill be discussed in further detail below, and as described in theembodiments disclosed in U.S. Provisional Patent Application No.62/059,339 and International Application No. PCT/NZ2014/000201, thecontents of which are hereby incorporated by reference in theirentirety.

The structure 220 is coupled to or integral with a portion of the baseunit 135 that is positioned above the heater plate 240. This positionselectronic components within the base unit 135 and electronic componentswithin the structure 220 above likely leak points of the humidificationchamber 140 when the humidification chamber 140 is mounted on the baseunit 135 in contact with the heater plate 240. The display 210 ispositioned on an upper surface of the base unit 135 above the structure220. This increases visibility of the display 210 in use. As a result,the humidification chamber 140 is mounted within a recess 250 formed bythe base unit 135. The structure 220 at least partially encloses thehumidification chamber 140 within the recess 250. This enables thesensors 230 to protrude into the inlet port 142 and/or the outlet port144 of the humidification chamber 140 to determine a characteristic ofthe gases flow. As discussed above, the orientation and placement of thesensors 230 can enable the humidification chamber 140 to be mountedwithin the recess 250.

FIG. 4 illustrates the humidification chamber 140 in more detail. Thehumidification chamber 140 includes a nose 310 and apertures 330. Thenose 310 mates with a corresponding hood 420 (as shown in FIGS. 5A-5B).The nose 310 aids alignment between the humidification chamber 140 andthe structure 220. In some embodiments, the nose 310 includes rails 320,which mate with corresponding grooves 430 in the structure 220 (as shownin FIGS. 5A-5B). The rails 320 also aid alignment between thehumidification chamber 140 and the structure 220. In some embodiments,the nose 310 does not include the rails 320 and the structure 220 doesnot include the grooves 430. In some embodiments, the tongue 312 of thenose 310 is tapered. The tapered tongue 312 can advantageously preventthe humidification chamber 140 from rocking with respect to the hood420. Rocking may result in disconnection of sensors 230.

The apertures 330 can receive the sensors 230 that are positioned on thestructure 220 (refer to FIGS. 5A-5B). Thus, when the humidificationchamber 140 is mounted on the base unit 135, the sensors 230 protrudeinto the apertures 330 of the humidification chamber 140. The sensors230 measure a characteristic of the gases flow in the humidificationchamber 140 through the apertures 330. The apertures 330 are positionedat or near the inlet port 142 and/or the outlet port 144 of thehumidification chamber 140. In some embodiments, the apertures 330 eachfurther include a seal or barrier (not shown) to maintain a sealedpathway for the gases flow. The seal can be an o-ring. In someembodiments, the apertures 330 can include a grommet or an elastic glovethat can protect the sensors 230 as they are inserted into the apertures330.

In the illustrated embodiment, two of the apertures 330 are positionednear the inlet port 142 and one of the apertures 330 is positioned nearthe outlet port 144. In some embodiments, one of the apertures 330 ispositioned near the inlet port 142 and two of the apertures 330 arepositioned near the outlet port 144. In some embodiments, variations ordifferent combinations of the apertures 330 may be positioned at or neareach port. For example, multiple of the apertures 330 may be positionedat both the inlet port 142 and the outlet port 144.

As discussed above, In some embodiments, the sensors 230 are oriented inthe same direction and positioned in same or parallel planes.Accordingly, the apertures 330 may also be positioned on thehumidification chamber 140 such that they align with their respectivesensors 230. In some embodiments, the apertures 330 face the same orsubstantially the same direction as illustrated in FIG. 4. Thus, as thehumidification chamber 140 is slid horizontally into the base 135, thesensors 230 align with the apertures 330 and positioned to measure thecharacteristics of gas flow at particular locations near the inlet port142 and the outlet port 144. As a result, the sensors are all positionedwithin the chamber in a single connection step by a user such that theuser does not need to separately position the sensors in the chamber asis required by prior art devices.

In some embodiments, the outlet port 144 (FIG. 4) includes a verticalportion 144 b and a horizontal portion 144 a connected by a curvedportion 144 c. While the illustrated embodiment shows an L-shape or aright angle, the angle between horizontal portion 144 a and the verticalportion 144 b can be greater than 90 degrees. Higher angles may make thetransition from the vertical portion 144 b to the horizontal portion 144a smoother and as a result may decrease turbulence in the air movingfrom the vertical portion 144 b to the horizontal portion 144 a. In someembodiments, the horizontal portion 144 a may advantageously enable auser to connect a conduit with the humidification chamber 140 eitherbefore the humidification chamber 140 is attached to the base 135 orafter the attachment with the base 135. In some embodiments, the inletport 142 can also include a vertical portion, a horizontal portion, anda curved portion as discussed above with respect to the outlet port.

FIGS. 5A-5B illustrate different views of an embodiment of the structure220. The structure 220 includes a shroud 410, the hood 420, the sensors230, and a post 440. The shroud 410 can receive a connector, forexample, a connector configured to connect the inspiratory tube 150 tothe humidification apparatus 130. In some embodiments, the connector isconfigured to form an electrical connection between the inspiratory tube150 and the humidification apparatus 130. In some embodiments, theconnector is configured to form an electrical connection with thestructure 220, and the structure 220 is configured to form an electricalconnection with the base unit 135. As a result, the structure 220includes electrical contacts 415 within the shroud 410, as shown in moredetail in FIG. 5A. The shroud 410 helps to align the connector of theinspiratory tube 150 with the structure 220. The shroud 410 facilitatespneumatic coupling between the inspiratory tube 150 and the outlet port144 of the humidification chamber 140. In the illustrated embodiment,the structure 220 includes one of the sensors 230 within the shroud 410.Thus, as connection is made between the structure 220, the connector ofthe inspiratory tube 150, and the outlet port 144 of the humidificationchamber 140, the one of the sensors 230 within the shroud 410 protrudesinto the outlet port 144 and an electrical connection is formed betweenthe inspiratory tube 150 and the humidification apparatus 130. In someembodiments, the shroud 410 protects the electrical contacts 415 fromspills or other environmental conditions.

With continued reference to FIGS. 5A-5B, the hood 420 can accommodatethe nose 310 of the humidification chamber 140. In some embodiments, thehood 420 includes grooves 430 to mate with the optional rails 320 thatprotrude from the nose 310 of the humidification chamber 140. The hood420 can include an optional opening 425. The opening 425 allows heatenergy from the humidification chamber 140 to dissipate to thesurrounding ambient environment. Thus, the opening 425 reduces themechanical contact between the humidification chamber 140 and thestructure 220. This improves cooling of the humidification chamber 140as it is further isolated from the structure 220.

In the illustrated embodiment, the post 440 includes two of the sensors230. Thus, the post 440 provides a platform that facilitates coupling ofthe two of the sensors 230 with two of the apertures 330 that areassociated with the inlet port 142 of the humidification chamber 140.The post 440 enables the two of the sensors 230 to protrude into the twoof the apertures 330 of the inlet port 142. This enables the two of thesensors 230 to more accurately determine a characteristic of the gasesflow.

In some embodiments, the controller 132 adjusts the power supplied tothe heater plate 240 for adding energy into the respiratory assistancesystem 100. The added energy from the heater plate 240 can evaporateliquid in the humidification chamber 140. The evaporated liquid can addhumidity to the respiratory gases. In some embodiments, the controller132 can continue to supply power to the heater plate 240 until acharacteristic of the respiratory gases at the outlet port 144 reaches apredetermined output condition, or a set point. The characteristic ofthe respiratory gases at the outlet port 144 can be measured by thesensors 230 (discussed above) at the outlet port 144. In someembodiments, the characteristic of the respiratory gases can be measuredat other locations in the respiratory assistance system 100. Forexample, the characteristic of the respiratory gases can be measured atthe patient interface 160. In some embodiments, characteristics ofrespiratory gases can include humidity, temperature, and flow rate.

In some embodiments, the respiratory assistance system 100 does notinclude a humidity sensor to directly measure humidity conditions of therespiratory gases. In such an embodiment, the controller 132 can controlthe heater plate 240 to deliver a target humidity condition usingtemperature and/or flow rate measurements provided by the sensors 230 toestimate humidity conditions of the respiratory gases delivered by thehumidification apparatus 130 and to use such estimated humidityconditions to control the heater plate 240 to generate humidity. Someconditions of the gases supplied to the humidification apparatus 130 bythe gases source 110 may compromise the ability of the humidificationapparatus 130 to add sufficient humidity.

In some embodiments, the controller 132 relying on estimated humidityconditions based on temperature measurements to control the heater plate240 may result in compromised humidity generation. For example, when thegases source 110 is drawing in ambient gases to supply to thehumidification apparatus 130, the characteristics of the gases drawn inby the gases source 110 can fluctuate depending on ambient conditions.In a desert environment, the ambient air may have high temperature andlow humidity. When respiratory gases enter the humidification chamber140, the controller 132 may initially provide power to the heater plate240 to add heat to the liquid in the humidification chamber 140 toevaporate liquid and add humidity to the gases; however, when theincoming gases are already at a high temperature, the controller 132 maystop providing power to the heater plate 240 before sufficient humidityor vapor has been added to the respiratory gases. Consider an instancewhere the temperature of the ambient gases drawn in by the gases source110 is 34 degrees Celsius and the set point temperature of the gases atthe outlet port 144 is 37 degrees Celsius. The controller 132 mayprovide power to the heater plate 240 until the respiratory gasesreaches 37 degrees at the outlet port 144. However, since the ambientgases temperature is already close to the set point temperature, theheater plate 240 may not need to add much heat for the respiratory gasesto reach the set point temperature. The amount of heat needed may not beenough. In particular, if the incoming ambient gas is dry, the gasesdelivered at the patient interface 160 may not have sufficient humidityfor patient comfort.

Moreover, humidity addition may further be compromised because of theflow rate of the gases and the design constraints of the respiratoryassistance system 100. In some embodiments, a high flow therapy may berequired. Accordingly, there may be even less time to add humidity tothe gases because of the higher flow. Furthermore, there may becompeting constraints of reducing the size of the humidification chamber140 and the available surface area of the liquid interacting with thevolume of respiratory gases in the humidification chamber 140.Accordingly, in some embodiments, it may be advantageous to decrease thetemperature of the respiratory gases. Further, in some embodiments, itmay be advantageous to increase the surface area of liquid interactingwith the volume of the respiratory gases flowing through thehumidification chamber 140. The humidification chamber 140 can bemodified as described below to improve heat transfer and/or increasesurface area between the liquid and the flowing respiratory gases.

The structure 220 at least partially encloses the humidification chamber140 when it is mounted on the base unit 135. As discussed, features onthe structure 220 facilitate coupling of the humidification chamber 140with the sensors 230 to provide more accurate determinations ofcharacteristics of the gases flow. The features on the structure 220also aid with alignment and orientation of the humidification chamber140 with respect to the base unit 135 or the sensors 230. Thehumidification chamber 140 being partially enclosed facilitates greaterheat loss between the humidification chamber 140 and the surroundingambient environment.

FIG. 6 illustrates an embodiment wherein a structure 500 includes anactive cooling mechanism 540 to facilitate heat loss from thehumidification apparatus 130 to the surrounding ambient environment. Theactive cooling mechanism 540 moves air onto and around thehumidification chamber 140. This encourages heat loss from thehumidification chamber 140 to the surrounding ambient environment. Insome embodiments, the active cooling mechanism 540 includes a fan. Insome embodiments, the active cooling mechanism 540 may include a blower.In some embodiments, the structure 500 includes an air inlet to allowthe active cooling mechanism 540 to draw air into the structure 500 fromthe surrounding ambient environment. In some embodiments, the structure500 includes an air outlet to allow the active cooling mechanism 540 toexpel air from the structure 500 out to the surrounding ambientenvironment. The active cooling mechanism 540 may aid heat loss in thestructure 500.

In the illustrated embodiment, the structure 500 including the activecooling mechanism 540 provides an increased enclosure effect on thehumidification chamber 140 relative to the structure 220 illustrated inFIGS. 5A-5B. For example, a hood 520 does not include an opening such asthe opening 425 of the hood 420 to encourage further heat loss. Inanother example, the body of the structure 500 extends such that itinteracts more fully with the humidification chamber 140. In someembodiments, the active cooling mechanism 540 may be combined with thestructure 220 in FIGS. 5A-5B to further enhance heat loss. In someembodiments, the structure 220 or the structure 500 may include athermally insulating material to slow the spread of heat therein. Insome embodiments, the thermally insulating material may be combined withthe active cooling mechanism 540.

FIG. 7 is an example of a humidification chamber 600 including a passivecooling mechanism 650. The passive cooling mechanism 650 may be anymechanism that passively encourages heat transfer to occur between thehumidification chamber 600 and the surrounding ambient environment, forexample, a heat sink including fins or pins. The passive coolingmechanism 650 acts to increase the surface area of the humidificationchamber 600 that can be utilised for heat loss.

In some embodiments, the passive cooling mechanism 650 may bepermanently coupled to the humidification chamber 600. Permanentcoupling of the passive cooling mechanism 650 could be using a snap-fitmechanism, clipping, adhesives or welding mechanisms. In someembodiments, the passive cooling mechanism 650 may be an integral partof the humidification chamber 600. In some embodiments, the passivecooling mechanism 650 may be removably coupled to the humidificationchamber 600. Removable coupling of the passive cooling mechanism 650allows the humidification chamber 600 to couple with differentstructures, for example, the structure 220 or the structure 500.

In the illustrated embodiment, the passive cooling mechanism 650includes a fin. In some embodiments, the passive cooling mechanism 650may include multiple fins. The fin 650 protrudes from the humidificationchamber 600 such that the alignment and orientation features of thehumidification chamber 600 are still able to facilitate coupling betweenthe humidification chamber 600 and the structure 220.

The fin 650 may comprise the same material as the humidification chamber600. In some embodiments, the fin 650 may include a more thermallyconductive material to further promote heat loss from the humidificationchamber 600. The geometry of the fin 650 may depend on the geometry ofthe structure 220 to which the humidification chamber 600 is to becoupled. For example, In some embodiments, the fin 650 may extendsubstantially vertically towards the ports of the humidification chamber600. In some embodiments, the fin 650 may extend substantiallyhorizontally from the humidification chamber 600. A combination of theabove geometries may also be used.

FIG. 8 illustrates an embodiment that includes a wall 750 of ahumidification chamber 700 that has been enlarged. The wall 750 includesat least a portion that bulges out between a base 760 and an uppersurface 770 of the humidification chamber 700. This increases thesurface area of the humidification chamber 700, without substantiallyincreasing its footprint. Thus, a greater amount of humidity istransferred to the respiratory gases. The humidification chamber 700 ismountable on the base unit 135 with minimal or no changes required tothe base unit 135. In some embodiments, the humidification chamber 700may include different geometries that increase the surface area.Increasing the surface area increases the area of contact between theliquid and the respiratory gases, which promotes more efficienthumidification of respiratory gases. For example, the size of thehumidification chamber 700 may be increased, or the shape of thehumidification chamber 700 may be optimised to produce an optimalsurface area between the liquid and the respiratory gases. In anotherexample, the interior of the wall 750 may include microstructures asdisclosed in International Application No. PCT/NZ2013/000113, thecontents of which are hereby incorporated by reference in theirentirety.

FIG. 9 illustrates an embodiment wherein a humidification chamber 800includes regions 850 that facilitate improved heat loss. The regions 850include a material that has a higher thermal conductivity than thematerial of the humidification chamber 800. In the illustratedembodiment, two regions 850 are utilised. In some embodiments, a singleregion 850 or multiple regions 850 can be used to encourage heat lossfrom the humidification chamber 800 to the surrounding ambientenvironment. In some embodiments, the material may be metal, forexample, copper. The regions 850 facilitate greater heat loss through awall 860 of the humidification chamber 800. This enables heat loss tooccur without altering the geometry of the humidification chamber 800.In the illustrated embodiment, the regions 850 are permanently coupledto the humidification chamber 800. In some embodiments, the regions 850may be integral to the humidification chamber 800. In some embodiments,the entirety of the humidification chamber 800 or the wall 860 of thehumidification chamber 800 may be made from thermally conductivematerial.

In some embodiments, the humidification chamber 140 may include acooling structure 1050 as shown in FIG. 10. The cooling structure 1050can be located inside the humidification chamber 140. In someembodiments, the cooling structure 1050 may be a separate component thatcan be removably inserted in the humidification chamber 140. The coolingstructure 1050 may be secured using a fastener or designed to fit aroundthe shape of the humidification chamber 140. In some embodiments, thecooling structure 1050 is secured against the side walls 1060 of thehumidification chamber 1000. The cooling structure 1050 may completelyor partially cover the sidewalls 1060. In some embodiments, the coolingstructure 1050 is placed near the inlet port 142. In some embodiments,placing the cooling structure 1050 near the inlet port 142 may result inincreased humidity generation because of a higher temperature gradient.

In some embodiments, the cooling structure 1050 may include channels asshown in FIG. 11. The cooling structure 1050 may also includemicrostructures as described in International Application No.PCT/NZ2013/000113. The channels may run parallel to the x axis or they-axis or any angle between the x and y axes. The channels may bestraight or curved. In some embodiments, the channels can be in theshape of spirals. The channels can reduce gas temperature because of theincrease in evaporative cooling. The channels can also increase surfacearea of the interaction between liquid and respiratory gases. Forexample, the channels located along the side wall of the humidificationchamber 140 can collect liquid through capillary forces which evaporatesdirectly from the side walls. In some embodiments, adding the channelscan increase the humidity output by at least 7 mg/L.

FIG. 10 illustrates a portion of the channels discussed above. Each zonehas different design parameters as illustrated in FIGS. 11 and 12.Modifying the design parameters can change the wetting angle of thesurface of the cooling structure 1050. As discussed below, the wettingangle can determine capillary height and also surface forces. In someembodiments, the channels are designed to maximize the wetting angle.Increased wetting can increase capillary height. The channels can alsobe designed to stop or start capillary filling under certain conditions,such as, at a particular location, or temperature, temperature gradient,or humidity levels. In some embodiments, the design of channels canprovide controlled evaporative cooling according to predeterminedparameters. Accordingly, the channel parameters may affect evaporationin the humidification chamber 140. In some embodiments, the channelparameters are selected to maximize evaporation. In some embodiments,the Lf parameter is the same as L_(∞) in FIG. 14.

In some embodiments, the sidewalls 1060 may also include heatingelements on either the interior or exterior of the humidificationchamber 140. The cooling structure 1050 may also include heatingelements. The heating elements of the sidewall can increase evaporativerate of the liquid adhering to the cooling structure 1050. Further, Insome embodiments, the heater plate 240 can be designed to directly heatthe chamber walls. For example, the back of the heater plate 240 can bearranged to directly contact the chamber walls and heat the chamberwalls directly. The heater plate 240 can also have a diameter largerthan the cooling structure 1050. Thus, there may be a gap between thecooling structure 1050 and the sidewall 1060. Accordingly, the heat fromthe heater plate 240 can be trapped behind the sidewall and the coolingstructure 1050 and heat the cooling structure 1050.

In some embodiments, the cooling structure 1050 is manufactured usinginjection moulding. The materials can be polycarbonate, Arnitel VT3108,PP+Techsurf or any other thermoplastics. The materials can also affectcontact angle or the wetting of the liquid on the cooling structure 1050as shown in FIG. 13. For a polycarbonate material, the contact angle forwater can be higher than a material like Arnitel. The contact angle candetermine wettability of the material. In some embodiments, higherwettability may be desired to increase capillary height.

FIG. 14 illustrates example calculations of capillary heights as afunction of design parameters and materials of the cooling structure1050 shown in FIG. 11. Larger capillary height can indicate that acolumn of liquid will rise higher along the channels of the coolingstructure 1050. When the liquid rises higher, the surface area of theliquid available for evaporative cooling can also increase. As discussedabove, evaporative cooling can decrease temperature of the respiratorygases in the humidification chamber. In some embodiments, for theequation shown in FIG. 14, c is the wetted x-sectional length of thechannel, A is the cross-sectional area, σ is liquid/vapour surfacetension, ρ is liquid density, ξ is inclination of channel (which is 90deg if vertical) and g is gravity constant.

FIG. 15 illustrates results from one of the embodiments described abovewith the cooling structure 1050 having channels attached to sidewallsnear the inlet port 142 and the outlet port 144. The figure shows thatthe cooling structure 1050 including channels placed inside thehumidification chamber 140 can increase the relative humidity added tothe respiratory gases.

FIG. 16 illustrates an embodiment of the humidification chamber 140 witha base structure 1602 placed on the base of the humidification chamber140. In some embodiments, the base structure 1602 can be integral of thebase of the chamber. The base structure 1602 can also be removablyinserted in the humidification chamber 140. The base structure 1602 cancover some or the entire portion of the base of the humidificationchamber 140. In some embodiments, the base structure 1602 lies above theheater plate 240. The base structure 1602 can be designed to hold a thinlayer of liquid. An embodiment of the base structure 1602 is shown inFIG. 17. A thin layer of liquid may evaporate faster than a largervolume of liquid. The thin layer of liquid can be continuouslymaintained using a source (not shown). The base structure 1602 caninclude channels as discussed above as shown in FIG. 17. Liquid can befed from a source and directed towards the channels. The design of thechannels can increase evaporation. For example, the height of thechannel or any other dimension may vary along the length of the channelto account for variations in the base temperature or gas conditions toprevent thin-film break-up (dry out) and maintain high evaporationrates. In some embodiments, the wall tilt is adjusted to maximize fluidrecirculation (thus temperature homogenization) via surface tension(Marangoni) driven convection.

In some embodiments, the controller 132 can automatically adjust the setpoint based on detecting the temperature of the respiratory gases at theinlet port 142. The controller 132 can also track humidity and/or flowrate of the respiratory gases at the inlet port 142. In someembodiments, the controller 132 can receive a humidity indication basedon a user input. In some embodiments, the controller 132 can receivehumidity measurements from a humidity sensor.

The controller 132 can measure a difference between the inlet gastemperature and the set point. If the temperature difference is small,the controller 132 can automatically increase the set point temperature.This can enable the heater plate 240 to run longer and add sufficienthumidity to the respiratory gases. In some instances, if the controller132 determines that the humidity in the gases at the inlet port 142 isnot that different from the set point humidity, the controller 132 maynot change the temperature set point. The controller 132 can alsodetermine the set point based on the flow rate. For a high flow rate,the controller 132 may increase the temperature set point to increasehumidity generation.

Unless the context clearly requires otherwise, throughout thedescription and the claims, the words “comprise”, “comprising”, and thelike, are to be construed in an inclusive sense as opposed to anexclusive or exhaustive sense, that is to say, in the sense of“including, but not limited to”.

Reference to any prior art in this specification is not, and should notbe taken as, an acknowledgement or any form of suggestion that thatprior art forms part of the common general knowledge in the field ofendeavour in any country in the world.

The disclosed apparatus and systems may also be said broadly to consistin the parts, elements and features referred to or indicated in thespecification of the application, individually or collectively, in anyor all combinations of two or more of said parts, elements or features.

Where, in the foregoing description reference has been made to integersor components having known equivalents thereof, those integers areherein incorporated as if individually set forth.

It should be noted that various changes and modifications to thepresently preferred embodiments described herein will be apparent tothose skilled in the art. Such changes and modifications may be madewithout departing from the spirit and scope of the disclosed apparatusand systems and without diminishing its attendant advantages. Forinstance, various components may be repositioned as desired. It istherefore intended that such changes and modifications be includedwithin the scope of the disclosed apparatus and systems. Moreover, notall of the features, aspects and advantages are necessarily required topractice the disclosed apparatus and systems. Accordingly, the scope ofthe disclosed apparatus and systems is intended to be defined only bythe claims that follow.

1. (canceled)
 2. A chamber configured for use within a humidificationsystem, comprising: a wall; an inlet; and an outlet; wherein the chamberis configured to hold a volume of liquid, and the chamber is configuredto allow gases to pass over the volume of liquid from the inlet of thechamber to the outlet of the chamber, and the wall of the chamber isconfigured to facilitate heat loss from the chamber.
 3. The chamber ofclaim 2, wherein the outlet is configured to receive a sensor.
 4. Thechamber of claim 3, wherein the sensor is configured to measure atemperature of a gases flow.
 5. The chamber of claim 2, wherein thechamber comprises a substantially large surface area to facilitateenergy loss from the chamber.
 6. The chamber of claim 5, wherein thechamber comprises a passive cooling mechanism.
 7. The chamber of claim6, wherein the passive cooling mechanism comprises a fin.
 8. The chamberof claim 2, wherein the wall of the chamber bulges between a base and anupper surface of the chamber.
 9. The chamber of claim 2, wherein thewall of the chamber is shaped to increase surface area between a gasesflow and the volume of liquid in the chamber.
 10. The chamber of claim2, wherein the wall of the chamber comprises a region of thermallyconductive material.
 11. A system for humidifying respiratory gasescomprising: a humidification apparatus comprising a heating apparatusand a controller; and the chamber of claim 2, wherein chamber isconfigured to be coupled with the humidification apparatus, wherein thecontroller is configured to determine an amount of power to be providedto the heating apparatus to alter a gases flow such that acharacteristic of the gases flow approaches a predetermined value at theoutlet of the chamber.
 12. The system of claim 11, wherein the chamberis configured to be received within a recess of the humidificationapparatus.
 13. The system of claim 11, wherein the chamber is configuredto be at least partially enclosed by a structure that is permanentlycoupled with the humidification apparatus.
 14. The system of claim 11,wherein the chamber is configured to be at least partially enclosed by astructure that is integral with the humidification apparatus.
 15. Thesystem of claim 11, wherein the chamber is configured to be at leastpartially enclosed by a structure that is removably coupled with thehumidification apparatus.
 16. The system of claim 11, wherein theheating apparatus directly heats the volume of liquid, and indirectlyheats a gases flow as the gases flow passes over the volume of liquid.17. A chamber configured for use within a humidification system,comprising: an inlet configured to receive respiratory gases from aventilator; a wall; an outlet configured to output the respiratory gasesto a patient interface; a base connected to the wall; and a coolingstructure coupled to the wall or the base, configured to reducetemperature of the respiratory gases.
 18. The chamber of claim 17,wherein the outlet is configured to receive a sensor.
 19. The chamber ofclaim 18, wherein the sensor is configured to measure a temperature ofthe respiratory gases.
 20. The chamber of claim 17, wherein the wall ofthe chamber bulges between the base and an upper surface of the chamber.